MODERN PODIATRY, LLC (NPI# 1629699798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629699798 |
Entity Type | Organization |
Organization Name | MODERN PODIATRY, LLC |
Other Organization Name | MODERN PODIATRY: FOOT & ANKLE CLINIC |
Practice Address |
255 W Lebanon Ste 106 Frisco TX 75036-3412 |
Mailing Address |
5729 Lebanon Rd Ste 144328 Frisco TX 75034-7260 |
Practice Telephone | 9726457654 |
Mailing Telephone | 9726457654 |
Enumeration Date | 2020-04-30 |
Last Update Date | 2020-06-10 |
Authorized Official Name | DR. WOOJUNG MICHELLE LEE (DOCTOR/FOUNDER) |
Authorized Official Telephone | 9726457654 |
Authorized Official Credential | DPM |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers |
Other Name | Type Code |
---|---|
Modern Podiatry: Foot & Ankle Clinic | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811538390 | Modern Podiatry, LLC | Clinic/Center | 990 Bear Creek Blvd Ste E, Hampton, GA 30228-1864 | 2019-10-04 |
Street Address |
255 W LEBANON STE 106 |
City | FRISCO |
State | TX |
Zip Code | 75036-3412 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912352477 | Woojung Michelle Lee | Podiatrist | 255 W Lebanon Ste 106, Frisco, TX 75036-3412 | 2016-05-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053962761 | Gerryl Landry Krilic | Nutritionist | Friscofit City Ambassador Health Coaching & Wellness, 5410 Beacon Hill Drive, Frisco, TX 75036 | 2019-09-24 |
1275014862 | Chrissie Gutierrez | Physical Therapy Assistant | 11705 Cape Cod Springs Dr, Frisco, TX 75036 | 2018-08-22 |
1992282354 | Sahn & Kahng, Pllc | Physical Therapist | 425 Old Newman Road, Ste 401, Frisco, TX 75036 | 2018-07-27 |
1447886882 | Mellie Lindskog | Registered Nurse | 2766 Sparks Dr, Frisco, TX 75036-0522 | 2020-03-17 |
1043810385 | Nancy Carol Nielsen | Registered Nurse | 2846 Sparks Dr, Frisco, TX 75036-0523 | 2020-10-27 |
1548812522 | Jaime Michise | Speech-Language Pathologist | 1751 Cedar Ranch Rd, Frisco, TX 75036-1098 | 2019-07-10 |
1942369665 | Thu H Shioya | Optometrist | 2201 Packing Iron Dr, Frisco, TX 75036-1375 | 2006-12-08 |
1013561778 | Joslyn Love | Technician, Other | 1228 Timber Ln, Frisco, TX 75036-1743 | 2019-07-30 |
1598365439 | Amy Mei Tran | Pharmacist | 355 Stonebrook Pkwy, Frisco, TX 75036-3076 | 2020-10-29 |
1134729460 | Emily Binwhe Hong | Pharmacist | 355 Stonebrook Pkwy, Frisco, TX 75036-3076 | 2020-10-27 |
Find all providers in zip 75036 |
Taxonomy Code | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982179974 | Anadel Professionals LLC | Podiatrist | 3140 Legacy Dr Ste 330, Frisco, TX 75034-9383 | 2018-10-05 |
1912352477 | Woojung Michelle Lee | Podiatrist | 255 W Lebanon Ste 106, Frisco, TX 75036-3412 | 2016-05-03 |
1740609882 | Premier Foot & Ankle, Pllc | Podiatrist | 9359 Legacy Dr Ste 300b, Apt 2103, Frisco, TX 75033-6712 | 2014-04-15 |
1841630225 | Andrew Steven Bernhard | Podiatrist | 842 Summit Blvd, #15, Frisco, CO 80443 | 2013-06-28 |
1104183391 | Rebecca Wiesner | Podiatrist | 5375 Coit Rd Ste 100, Frisco, TX 75035-4911 | 2012-04-12 |
1326602426 | Interventional Partners, LLC | Podiatrist | 9359 Legacy Dr Ste 300b, Frisco, TX 75033-6726 | 2019-04-24 |
1699120980 | Matt Dane Ramirez | Podiatrist | 9359 Legacy Dr, 300b, Frisco, TX 75033-6712 | 2016-04-25 |
1659791168 | Kaitlyn Bernhard | Podiatrist | 842 Summit Blvd, Frisco, CO 80443-5882 | 2014-04-23 |
1528484433 | Katherine Walters Freeland | Podiatrist | 9359 Legacy Dr, Suite 300b, Frisco, TX 75033-6712 | 2014-03-16 |
1902149370 | Anthony Brockington | Podiatrist | 5375 Coit Rd Ste 100, Frisco, TX 75035-4911 | 2013-04-03 |
Find all providers in FRISCO |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.